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1154375996
ROGER C MIXTER
MILWAUKEE, WI
NPI
1154375996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208200000X Plastic Surgery
(Licence: WI 26326)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
Dr. ROGER C MIXTER M.D.
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217-4902
Phone number: 414-963-0500
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Mailing Address
Dr. ROGER C MIXTER M.D.
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217-4902
Phone number: 414-963-0500
Copy
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